Effects of early rehabilitation in the adult critically ill patient: una revision de la literatura

Authors

DOI:

https://doi.org/10.35454/rncm.v6n2.505

Keywords:

Critical care, Physiotherapy, Critical illness, Rehabilitation, Early rehabilitation, Intensive care unit, Muscle wasting, Muscle weakness, Exercise

Abstract

The physical inactivity of the patient during a long hospital stay contributes to the loss of muscle mass, mainly in the lower extremities, which in turn generates complications and prolonged hospital stays. The catabolic state during critical illness causes a role reversal in muscle. Per day, in the intensive care unit (ICU) there is a 2% loss of muscle mass, and during the first week of hospital stay there is a 12.5% loss of muscle cross-sectional area in the presence of mechanical ventilation (MV). ICU-acquired weakness (ICU-AW) is a condition of generalized weakness that occurs during critical illness in up to 50% of patients. ICU-AW is mainly related to hospital bed immobilization, longer duration of MV, increased hospital stay accompanied by a reduction in skeletal muscle mass, as well as increased mortality. In the ICU, the main indicator to be evaluated in the patient is muscle weakness. The aim of this review was to describe the effects of prolonged stay and bed rest in critically ill patients, as well as the importance of early rehabilitation. According to the results, early rehabilitation based on progressive mobility in the ICU is a priority and is aimed at preventing musculoskeletal deterioration and favoring physical recovery. In addition, it reduces ICU stay, decreases MV days, improves quality of life and decreases mortality. 

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Published

2023-05-24

How to Cite

López-Yarce, J., Solis Martínez, O., & Vázquez-Roque, R. A. (2023). Effects of early rehabilitation in the adult critically ill patient: una revision de la literatura. Journal Clinical Nutrition and Metabolism, 6(2), 155–166. https://doi.org/10.35454/rncm.v6n2.505